Term
Cultural Competence DEFINITION |
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A set of congruent behaviors, attitudes and policies… that enable the system, agency or professional to work effectively in cross-cultural situations. |
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Cultural Competence INVOLVES Adaptation: |
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Acknowledging the importance of culture,
Assessment of cross-cultural relations,
Awareness of the dynamics that result from cultural differences,
Expansion of cultural knowledge,
Adaptation of services to meet culturally unique needs. |
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a pattern of behaviors passed down from one generation to the next. |
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apparent biological attributes possessed by a group of people (e.g. skin color, hair type, bone structure) |
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generally used to reflect the influence of both race and culture on behavior |
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What is a persons Culture? |
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Thought Communication Actions Customs Beliefs Values… |
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Culture as human behavior... |
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the integrated pattern of human behavior Of a racial, ethnic or social group.” |
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each person’s environmental context. |
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Culture-Provides group members with a mechanism to judge ? |
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behavior, construct reality, and make decisions regarding life issues. |
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Culture also... guides daily activities and tasks. |
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AND is a dynamic framework of meanings |
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Culture As Models Mental models which communities develop over time to make sense of their |
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physical, emotional & social environment and to learn how to function within them. |
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Cultural cues-Persons learn and internalize sets of cultural cues that lead them to |
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Perceive
Act
Believe
Admire
Strive
in ways that make sense to them and to others who share these cues. |
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Diversity is AGE- GEOGRAPHIC ORIGIN |
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Age Gender Language Geographic origin |
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Diversity is LVL of ACCULTURATION-RELIGIOUS ID |
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Level of acculturation Education Religious identification |
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Diversity is PHYS. APPEARANCE to SEXUAL ORIENTATION |
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Physical appearance Racial /Cultural/Ethnic Identification Sexual orientation |
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Perception of power/privilege/place in society Political Values Psychological Influences |
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Diversity is FAMILY to SES |
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Family Composition Views on Health/Experiences with illness /SES |
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Understanding Culture Means |
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Means understanding differences and understanding similarities |
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Challenges of Cultural Diversity |
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Knowing/ Judging / Relating |
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“when an individual from one culture finds himself/herself in a different, strange, or uncomfortable situation when interacting with person’s of a different culture…” |
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Judging It is a Challenge, we must start interpreting |
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interpreting unfamiliar behaviors in non-judgmental ways |
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Judging/ we must start inquiring |
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Using inquiry to deepen understanding of the unfamiliar- self and others |
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Relationships & Power Must be sensitive to patient needs and the hierarchy of power. |
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Prejudice as hierarchy/ prejudice is hierarchal and strucutred. |
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Cultural Competence INVOLVES The ABILITY: 3 RS |
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The ability to recognize, reflect, and respond to the challenges of cultural diversity |
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Cultural Competence INVOLVES AWARENESS |
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Awareness of one’s own cultural limitations/biases |
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Cultural Competence INVOLVES OPENNESS |
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Openness, appreciation and respect for cultural differences |
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Cultural Competence INVOLVES VIEWING |
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Viewing intercultural interactions as learning opportunities |
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The tendency to evaluate other groups according to the values and standards of one's own ethnic group, especially with the conviction that one's own ethnic group is superior to the other groups |
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or knowledge of differences |
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that these differences are significant, that our common humanity transcends our differences |
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Fear of the unknown is... |
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the challenge of understanding something that does not fit with our world view |
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feeling rushed and unable to look in depth at individual pt. needs. |
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According to AOTA Cultural competence is key to effective therapeutic interactions and outcomes… |
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It enhances the OT provider's knowledge of the relationship between sociocultural factors, health beliefs & behaviors |
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Strategies for Clinical Cultural Assessment and Interactions #1 |
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#1 Consider all clients as individuals first. |
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Strategies for Clinical Cultural Assessment and Interactions #2 |
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#2 Never assume that a person’s ethnic identity tells you anything about their cultural values or patterns of behavior |
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Strategies for Clinical Cultural Assessment and Interactions #3 |
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#3 Treat all “facts” you have ever heard or read about cultural traits as hypothesis. Turn “facts” into questions. |
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Strategies for Clinical Cultural Assessment and Interactions #4 |
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#4 Identify strengths to build upon |
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What you believe/ ideal to which individual is commited. |
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Action/ Attitude Disconnect in Life |
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Reflect values
of individuals, respond
positively or negatively
toward object/person/concept/situation |
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SEVEN CORE CONCEPTS 1)Altruism |
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1) Altruism- Unselfish concern for the welfare of others |
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SEVEN CORE CONCEPTS 2)Equality |
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2) Equality- All individuals have the same fundamental human rights |
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SEVEN CORE CONCEPTS 3)Freedom |
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3) Freedom- Exercise choice of participation and goals |
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SEVEN CORE CONCEPTS 4)Justice |
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4)Justice-Doing things according to law |
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SEVEN CORE CONCEPTS 5)Dignity |
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5)Dignity-importance of valuing the worth and uniqueness of each person. example-listen carefully to pt complaints |
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SEVEN CORE CONCEPTS 6)Truth |
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6)Truth-Faithful to facts and reality (FRAUD) |
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SEVEN CORE CONCEPTS 7)Prudence |
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7) Prudence-Ability to govern one self using reason, evidence based, carefulness, and being rational |
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Connect with patients by... |
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share in a way that helps them, be sympathetic, use reverse psychology. |
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